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issues: This can include nausea, vomiting, stomach cramps, bloating, constipation, and diarrhea

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When you work with compounded semaglutide or tirzepatide from a vial, you handle the syringe selection yourself

What you're not paying for: the FDA premarket review of the finished preparation, the brand-name pharmaceutical manufacturer's R&D cost recovery, or the standardized delivery device (compounded semaglutide typically comes in multi-dose vials, not the pre-filled auto-injector pen you'd get with Wegovy)